General
City		New Braunfels	vs	Bryan
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State attribute explanation		Tx	vs	Tx
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Street		821 Us Hwy 81 W	vs	1401 Memorial Dr
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Zip Code		78,130	vs	77,802
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Phone		8,306,257,526	vs	9,797,767,521
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Overall Star Rating		3	vs	1
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Health Inspections Star Rating		2	vs	2
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Nurse Staffing Star Rating		2	vs	2
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Quality Measures Star Rating		5	vs	1
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RN Only Star Rating		2	vs	1
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Number of Certified Beds		154	vs	116
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Total Number of Residents		103	vs	82
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Percent of Occupied Beds		67 %	vs	71 %
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Health Survey Date		6/9/2011	vs	9/8/2011
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Fire Survey Date		6/8/2011	vs	9/6/2011
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Sprinkler Status		Fully Sprinklered	vs	Fully Sprinklered
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Program Participation		Medicare And Medicaid	vs	Medicare And Medicaid
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Type of Ownership		For Profit - Partnership	vs	For Profit - Corporation
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Located Within a Hospital?		No	vs	No
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Multi Nursing Home Ownership?		Yes	vs	No
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Resident and Family Councils		Both	vs	Both
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Continuing Care Retirement Community?		No	vs	No
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Quality Indicator Survey?		No	vs	No
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Special Focus Facility?		No	vs	No
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Civil Money Penalty Count		75.2	vs	75.2
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Total Enforcement Actions Count		75.2	vs	75.2
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# of deficiencies		21	vs	13
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Staff Information
Number of Residents		98	vs	82
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Number of RN Hours Per Resident Per Day		0.3	vs	0.34
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Number of LPN/LVN Hours Per Resident Per Day		1.01	vs	0.93
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Total Number of Licensed Staff Hours Per Resident Per Day		1.3	vs	1.27
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Number of CNA Hours Per Resident Per Day		0.06	vs	0.01
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Number Therapy Hours Per Resident Per Day		0.06	vs	0.01
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Environmental Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/26/2010date Of Correction: 05/12/2010	vs	Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/04/2010date Of Correction: 03/31/2010
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Deficiency #2		Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/26/2010date Of Correction: 05/12/2010	vs	Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Deficiency #3		Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 03/01/2010date Of Correction: 03/05/2010	vs	Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Deficiency #4		Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/01/2010date Of Correction: 03/03/2010	vs	Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Mistreatment Deficiencies
Deficiency #1		Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 11/16/2010date Of Correction: 12/10/2010	vs
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Deficiency #2		Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 04/26/2010date Of Correction: 04/28/2010	vs
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Deficiency #3		Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/08/2009date Of Correction: 06/24/2009	vs
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Deficiency #4		Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 05/08/2009date Of Correction: 06/09/2009	vs
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Deficiency #5		Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 05/08/2009date Of Correction: 06/24/2009	vs
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Resident Rights Deficiencies
Deficiency #1			vs	Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Deficiency #2			vs	Scope: Somelevel Of Harm: 3deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Quality Care Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/01/2010date Of Correction: 03/05/2010	vs	Scope: Somelevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Deficiency #2			vs	Scope: Somelevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Resident Assessment Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.survey Date: 02/16/2011date Of Correction: 03/11/2011	vs	Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/04/2010date Of Correction: 03/31/2010
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Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.survey Date: 02/16/2011date Of Correction: 03/11/2011	vs	Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Deficiency #3		Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 11/05/2009date Of Correction: 11/06/2009	vs
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Deficiency #4		Scope: Somelevel Of Harm: 4deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 05/08/2009date Of Correction: 06/24/2009	vs
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Administration Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 03/01/2010date Of Correction: 03/10/2010	vs	Scope: Somelevel Of Harm: 2deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.survey Date: 06/13/2009date Of Correction: 07/17/2009
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Deficiency #2		Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 03/01/2010date Of Correction: 03/05/2010	vs	Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 06/13/2009date Of Correction: 07/20/2009
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Deficiency #3		Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 11/05/2009date Of Correction: 11/06/2009	vs
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Deficiency #4		Scope: Somelevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 05/08/2009date Of Correction: 06/24/2009	vs
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Deficiency #5		Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/08/2009date Of Correction: 06/24/2009	vs
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Pharmacy Service Deficiencies
Deficiency #1		Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 09/08/2010date Of Correction: 09/09/2010	vs	Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/13/2009date Of Correction: 07/13/2009
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Deficiency #2		Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 03/01/2010date Of Correction: 03/05/2010	vs
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Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication		38.3 %	vs
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Percent of long-stay residents whose need for help with daily activities has increased		75.2 %	vs	8.9 / 9.9
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Percent of long-stay residents who self-report moderate to severe pain		75.2 %	vs
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Percent of long-stay high-risk residents with pressure ulcers		4.5 %	vs
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Percent of long-stay residents who lose too much weight		8.2 %	vs
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		47.1 %	vs
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		2.7 %	vs
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Percent of long-stay residents with a urinary tract infection		3.6 %	vs
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Percent of long-stay residents who have depressive symptoms		8.6:1	vs
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Percent of long-stay residents who were physically restrained		8 %	vs
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Percent of short-stay residents who self-report moderate to severe pain		5.7 %	vs
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		58.2 %	vs	84.4 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		60 %	vs	83.3 %
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Percent of short-stay residents who newly received an antipsychotic medication		75.2	vs	27.3 %
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Percent of long-stay residents experiencing one or more falls with major injury		1.1 %	vs
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Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication		38 %	vs
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Percent of long-stay residents whose need for help with daily activities has increased		1.3 %	vs	8.2 %
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Percent of long-stay residents who self-report moderate to severe pain		1.50 %	vs
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Percent of long-stay high-risk residents with pressure ulcers		7.2 %	vs
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Percent of long-stay residents who lose too much weight		9.2 %	vs	22.6 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder		47.5 %	vs
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Percent of long-stay residents who have had a catheter inserted and left in their bladder		1.3 %	vs
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Percent of long-stay residents with a urinary tract infection		6.2 %	vs	38.7 %
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Percent of long-stay residents who have depressive symptoms		6 %	vs	27.3 %
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Percent of long-stay residents who were physically restrained		8.2 %	vs	75.2 %
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Percent of long-stay residents experiencing one or more falls with major injury		2.20 %	vs	3 %
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Percent of short-stay residents who self-report moderate to severe pain		5.5 %	vs	29.6 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine		34.5 %	vs	88.9 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened		29.1 %	vs	90 %
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Percent of short-stay residents who newly received an antipsychotic medication		2.3 %	vs	12.7 %
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Compare COLONIAL MANOR CARE CENTER vs SHERWOOD HEALTH CARE INC Nursing Homes USA